Bruce Japsen (Forbes)

Why can't healthcare be personal, simple, affordable, and awesome?

Jason Borschow (Abarca)

Health plans continue to be under immense pressure to deliver expanded services while concurrently lowering the cost of care. A PBM’s role focuses on supporting our health plan partners by developing services and products that enable health plans to deliver on these goals. The traditional PBM roles and business models need to be updated in order to align and provide innovative tools for health plans across all channels: provider, life science, ancillary, and pharmacy networks.

Nicole Bulochnik (Abarca)

The traditional PBM roles and business models are a thing of the past. The industry must evolve to align with the new payor landscape and the needs and expectations of plans and consumers. How will next-generation PBMs help payors break down traditional silos – medical/pharmacy, clinical/financial – and navigate an increasingly complex and competitive marketplace?

Moderator: 

Javier Gonzalez (Abarca)

Participants:

Beth Hebert-Silvia (PSG), Dan DaCosta (Risk Strategies), Stephen George (Milliman), Thatcher Sloan (RxBenefits)

Abarca developed Assura—our net cost guarantee pricing model—to help our clients stabilize their drug costs. In order to validate the model, we engaged Milliman to perform an independent review of the methodology. In this session, we will discuss their review, as well as the results.

Alex Cires (Milliman)

Over the past few years, the PBM industry has faced significant scrutiny in Congress, the statehouses, regulatory agencies, and the courts. At the same time, industry consolidation, and new entrants and models have changed the marketplace significantly. Given these dynamics, what is the policy outlook for PBMs, and how can such a diverse industry speak with one voice on legal and regulatory issues that impact the entire sector?

Jesse Ruzicka (Abarca)

Glen Chambers (PCMA)

Since the pandemic, which has brought an increase in labor shortages and what is being called “The Great Resignation,” many organizations are finding it especially difficult to retain and attract the right employees. Statistics suggest that in order to recruit and retain top talent, companies must adopt a strategic recruitment model that cultivates a healthy organizational culture, inspires a location-independent workforce, and answers the needs of the new worker—such as better mental health and other benefits that address the post-COVID reality.

Mercibel Gonzalez (Abarca)

Ashley Hajnos (Kincentric)

Consumer-centered healthcare is a popular topic. Too often though, consumers face friction and frustration throughout their journey. How can technology help PBMs and payers deliver a better member experience?

Safa Elshanshory (Abarca)

Healthcare is one of the most dynamic and fast-moving sectors of the US economy. To compete, industry leaders must be keenly aware of market dynamics, shifting consumer expectations, new models, entrants, and emerging technologies. They also need to be able to see into the future. What are some of the hot issues and how fast can you react?

Bruce Japsen (Forbes)

Jason Borschow (Abarca)